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1457374761
DAVID WAYNE MARTIN
ERIE, PA
NPI
1457374761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA003574L)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- DAVID WAYNE MARTIN PA
3580 PEACH ST
ERIE, PA 16508-2776
Phone number: 814-864-9994
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Mailing Address
-- DAVID WAYNE MARTIN PA
7378 DAR LN
NORTH EAST, PA 16428-3886
Phone number: 814-725-4994
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